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Organization
DR. FUGO PLASTIC SURGERY, P.L.L.C.
Active
Organization
DR. FUGO PLASTIC SURGERY, P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN R FUGO D.O. (BUSINESS OWNER)
(845) 565-7040
Entity
Organization
Contact information
Practice address
92 OLD ROUTE 9W, SUITE 100, NEW WINDSOR, NY 12553-5485
(845) 565-7040
(845) 565-7060
Mailing address
92 OLD ROUTE 9W, SUITE 100, NEW WINDSOR, NY 12553-5485
(845) 565-7040
(845) 565-7060
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
260705
NY
Other
Enumeration date
06/04/2014
Last updated
06/04/2014
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